Provider Demographics
NPI:1700878345
Name:SILVERIO, TERESITA RONA (MD)
Entity Type:Individual
Prefix:
First Name:TERESITA
Middle Name:RONA
Last Name:SILVERIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4812
Mailing Address - Country:US
Mailing Address - Phone:845-473-0600
Mailing Address - Fax:845-473-2977
Practice Address - Street 1:201 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4812
Practice Address - Country:US
Practice Address - Phone:845-473-0600
Practice Address - Fax:845-473-2977
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153739207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00762170Medicaid
NY00762170Medicaid
48F021Medicare ID - Type Unspecified